What diagnostic test should the nurse anticipate for an older patient who is vomiting "coffee-ground" emesis?
Endoscopy
Barium studies
Angiography
Gastric analysis
The Correct Answer is A
"Coffee-ground" emesis is a term used to describe vomit that has the appearance of coffee grounds, which indicates that the vomit contains partially digested blood. This is a serious symptom that could be indicative of an upper gastrointestinal bleed. An endoscopy is a diagnostic test that allows healthcare providers to visually examine the upper gastrointestinal tract and identify the source of bleeding.
Barium studies and angiography are not typically used to diagnose upper gastrointestinal bleeds. Gastric analysis may be useful in other diagnostic situations, but it is not the most appropriate test for a patient with "coffee-ground" emesis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct action for the nurse to take first when preparing to teach a newly diagnosed 43-year-old man with type 2 diabetes home management of the disease is to assess the patient's perception of what it means to have diabetes. This will help the nurse to identify any misconceptions or fears the patient may have about the condition, and tailor the education to meet the patient's specific needs. Options A, C, and D are important components of diabetes education but can be addressed after the nurse has assessed the patient's perception of the disease.
Correct Answer is ["A","D"]
Explanation
The serum laboratory test results that support the probable diagnosis of hyperthyroidism in a 40- year-old female client with a family history of thyroid problems and presenting with symptoms of unintentional weight loss, irritability, and chest discomfort are increased T4 (thyroxine) and T3 (triiodothyronine) levels, as hyperthyroidism is characterized by excess production of thyroid hormones. Options b, c, e, f, and g are not typically associated with hyperthyroidism.
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